Kenneth William Eisenbach, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN. 130101 Issued in OH

Practice address

1358 Crestwood Rd
Toledo, OH 43612-2714

Phone

(419) 779-2324

NPI assigned

Aug 13, 2009

Last updated

Aug 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1851523591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 CRESTWOOD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122714",
            "telephone_number": "419-779-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 CRESTWOOD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122714",
            "telephone_number": "419-779-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBACH",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 130101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Sami Eid, RPH, PHARM D
• Cordelia Adesua Eigbire
• Heather Eikenburg, LSW
• Eileen Community Residence
• Joan F Eischen, CRNA
• Lisa Lennette Eisenbach, L.P.N.
• Felicia R Eisenbrandt, CNP
• Taylor Eisenman-Patel, MD
• Kimberly Eisom
• Sarah Eissa

• Licensed Practical Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.